Couples Coaching Application

Call Me First · Damian Lewis

Couples Coaching Application

Both partners need to contribute to this application. If it is a good fit, both of you will hear from me to schedule a discovery call together.

Fill this out together or have each person answer their own sections. Both perspectives need to be here before a call is scheduled.

Husband Husband’s Full Name Husband’s Email Address Husband’s Phone Number

Wife Wife’s Full Name Wife’s Email Address Wife’s Phone Number

About You Both How long have you been together? City and State

Your Situation What keeps happening between the two of you that you have not been able to fix on your own? Describe the pattern, not just the last argument. From the husband: what do you think is the biggest thing that needs to change? From the wife: what do you think is the biggest thing that needs to change? What have you already tried to address this together? Therapy, books, conversations, other programs. Are both of you committed to doing this work?

Commitment This is a three-month commitment at $7,500. Are both of you in a position to invest right now? Anything else you want me to know before we talk?

Country/region

Couples Coaching Application

Couples Coaching Application